Diagnosis and treatrment of 68 patients with early postoperative inflammatory small bowel obstruction
10.3760/cma.j.issn.1008-6706.2012.12.014
- VernacularTitle:术后早期炎性肠梗阻68例诊治分析
- Author:
Feng GAO
;
Hailong LIU
;
Yajun CHEN
- Publication Type:Journal Article
- Keywords:
Intestinal pseudo-obstruction;
Digestive system surgical procedures/adverse effects;
Intubation;
gastrointestinal
- From:
Chinese Journal of Primary Medicine and Pharmacy
2012;19(12):1787-1788
- CountryChina
- Language:Chinese
-
Abstract:
Objective To investigate the clinical features of early postoperative inflammtory small bowel obstruction,and discuss its diagnosis,treatment and preventive measures.Methods The clinical data of 68 cases of early postoperative inflammatory small bowel obstruction were analyzed retrospectively.Results Within the 68 cases,65 cases were cured by non-operative treatment including gastrointestinal decompression,anti-inflammatory drugs,somatostatin,total parenteral nutrition(TPN) and traditional Chinese medicine.The mean time from the onset of symptoms to the recovery of bowel function was 14 days.Three cases were cured by transferring to operation.One case of them was transferred to operation for strangulated intestinal obstruction during the period of conservative treatment.One case underwent oper.ion because the patient didn t recover after 4 weeks expectant treatment.One case underwent operation for the impatience with the conservative treatment of both the doctors and the patient.Conclusion Non-operative therapy should be the first choice for the treatment of early postoperative inflammatory small bowel obstruction,and its therapeutical effect was well-accepted.
